Dr. Michael Chew @mchew85
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GrepMed Gastroenterology-Hepatology Editor, Academic Hospitalist UC Davis Medical Center Internal Medicine, Yale Gastroenterology Fellow '22
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diagnosis gastroenterology hepatology cirrhosis deficiency liver low abdominalpain abnormal acute anemia bleeding cobalamin dili disorders druginduced dyspepsia elastase enzymes eoe
Causes of Severe Acute Liver Injury - Ichemic hepatitis - Acute biliary obstruction - Drug-Induced liver
Causes of Severe ... hepatitis - Acute biliary ... hepatitis - Wilson disease ... Severe #Acute #Causes ... #Differential #
Gallstone Diseases 1. Asymptomatic Stones 75% 2. Biliary Pain 20% 3. Acute Cholecystitis 10% 4. Mirizzi's Syndrome < 0.1% 5. Cholangitis/
Gallstone Diseases ... Biliary Pain 20% ... #Gallstone #Diseases ... #differential # ... diagnosis #causes
Common Etiologies of Cirrhosis Inflammation - Hepatitis B (15 percent) - Hepatitis C (47 percent) - Schistosomiasis
congenital - Primary biliary ... - Wilson disease ... Venoocclusive disease ... #Diagnosis #Differential ... Hepatology #Cirrhosis #Causes
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 Primary Biliary Cirrhosis - Diagnosis Algorithm Symptoms: Fatigue, Pruritus, Right upper quadrant discomfort Signs: Jaundice, Xanthelasmata, Hepatomegaly Associated history:
Primary Biliary ... Cirrhosis - Diagnosis Algorithm ... associated autoimmune disease ... of autoimmune disease ... #PBC #Primary #Biliary
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm DILI suspicion Features toxic aetiology: Skin involvement, Kidney injury,
Stepwise Diagnosis Algorithm ... for alternative causes ... Alcohol-related liver disease ... Benign/malignant biliary ... obstruction, Primary biliary
Abnormal liver function tests algorithm. This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... tests algorithm ... include extrahepatic biliary ... LFTs #Abnormal #Algorithm ... Liver #Enzymes #Differential
Functional Dyspepsia - Signs, Symptoms and Pathophysiology Delayed gastric emptying - Postprandial fullness, nausea, vomiting Hypersensitivity to gastric
Functional Dyspepsia ... hypersensitivity - Nausea ... hypersensitivity - Nausea ... nonerosive reflux disease ... Epigastric pain #Functional
Gastrointestinal Causes of Iron Deficiency Anemia • Mass lesions: Carcinoma, Large polyps • Inflammatory: Reflux esophagitis,
Gastrointestinal Causes ... sprue, Whipple's disease ... ulcers, Crohn's disease ... Deficiency #Anemia #Causes ... #differential #
Causes of Small Bowel Bleeding - Differential Diagnosis Common Causes: • Under age 40 years: Inflammatory Bowel
Causes of Small ... Bowel Bleeding - Differential ... Diagnosis Common Causes ... Inflammatory Bowel Disease ... SmallBowel #Bleeding #Differential
Causes of Low Vitamin B12 Levels Low vitamin B12 intake - Vegetarianism, chronic alcoholism and older people Autoimmune
Causes of Low Vitamin ... insufficiency, Crohn 's disease ... , coeliac disease ... low #cobalamin #differential
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